Title: Impact of Incentive Therapy on Postural Control in Burn Survivors
Authors: Noha F. Mahmoud, Hoda M. Zakaria, Wanees M. Badawy
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.51
Background: Burn has a causative factor in avoidant behaviors and lack of postural control. Objectives: To guide the rehabilitation team making decision regarding the use of incentive therapy via Wii interactive video games in physical therapy practice for burned patients. Materials and methods: The traditional (control) group received a physical therapy session including positioning, range of motion exercises, stretching exercise for lower limb muscles, and daily walking. The study group (Wii group) received previous physical therapy program followed by 15 minutes of Wii Fit gaming activities. Main outcome measures: Static and dynamic balance assessment using Biodex Balance system, Timed-Up and Go test, Activities-Specific Balance Confidence Scale and Numeric Pain Rating Scale. Results: Statistically significant differences were found between the study and control groups; for the favor of patients practiced the Wii interactive video game. Conclusions: Incentive therapy via active participation of patients using Wii Fit is potentially acceptable as an adjunct to the physical therapy intervention for burned patients aiming to improve postural control. Keywords: Burn, Incentive therapy, Wii Fit, Biodex Balance system 18. Hoffman HG, Patterson DR, Seibel E, Soltani M, Jewett-Leahy L, Sharar SR. Virtual reality pain control during burn wound debridement in the hydrotank.Clin J Pain. 2008: May;24(4):299-304. 19. Mahrer NE, Gold JI. The use of virtual reality for pain control: a review. Curr. Pain Headache Rep. 2009: Apr;13(2):100-9. 20. CarrougherGJ, Hoffman HG, Nakamura D, Lezotte D, Soltani M, Leahy L, EngravLH, Patterson DR. The effect of virtual reality on pain and range of motion in adults with burn injuries.J Burn Care Res. 2009: Sep-Oct;30(5):785-91.doi: 10.1097/BCR.0b013e3181b485d3. 21. Palermo TM, Drotar D. Prediction of children's postoperative pain: the role of presurgical expectations and anticipatory emotions. J Pediatr Psychol. 1996: 21:683-698. 22. Fung V, Ho A, Shaffer J, Chung E, and Gomez M. Use of Nintendo Wii FitTM in the rehabilitation of outpatients following total knee replacement: a preliminary randomised controlled trial. Physiotherapy. 2012: 98: 183–188. 23. Kwon Y, Choi Y, Nam S, Lee M. The Influence of Time of Day on Static and Dynamic Postural Control in Normal Adults. J Phys. Ther Sci. 2014: Mar 26(3): 409-412. 24. Hoffman HG, Doctor JN, Patterson DR, Carrougher GJ, Furness TA., 3rd Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain. 2000: 85(1–2):305–309. 25. McGough R, Paterson K, Bradshaw E, Bryant A, Ross C. The Use Of Nintendo Wii Balance Board For Real-Time Investigation Of Weight Bearing Asymmetry. Portuguese Journal of Sport Sciences. 2011:11 (Suppl.2). 26. Deutsch JE, Borbely M, Filler J, et al. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. PhysTher. 2008: 88: 1196–07.Abstract
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